Piperlongumine and p53-reactivator APR-246 selectively induce cell death in HNSCC by targeting GSTP1

Wei Hang1, Zhi-Xian Yin2, Gang Liu2

  • 1Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin, China. hangwei2627@126.com.

Oncogene
|January 20, 2018
PubMed

Insights

Piperlongumine (PL) and APR-246 synergize to selectively kill head and neck squamous cell carcinoma (HNSCC) cells by targeting glutathione S-transferase pi 1 (GSTP1). This combination therapy induces cell death independently of TP53 mutations, offering a new therapeutic strategy for HNSCC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • TP53 mutations are common in head and neck squamous cell carcinoma (HNSCC), correlating with high recurrence rates.
  • Existing therapies aim to target TP53 mutations or restore wild-type (WT) TP53 activity.
  • PRIMA-1 (p53-reactivation and induction of massive apoptosis-1) and its analogue APR-246 can reactivate mutant p53 DNA-binding and WT p53 functions.

Purpose of the Study:

  • To investigate the synergistic effect of piperlongumine (PL) and APR-246 in HNSCC treatment.
  • To elucidate the mechanism underlying the selective toxicity of the PL/APR-246 combination.
  • To evaluate the therapeutic potential of PL and APR-246 in preclinical models of HNSCC.

Main Methods:

  • Co-treatment of HNSCC cells with piperlongumine (PL) and APR-246.
  • Assessment of cell death (apoptosis and autophagic cell death) in cancer cells and normal cells.
  • Investigation of TP53 mutation status and glutathione S-transferase pi 1 (GSTP1) expression.
  • Measurement of reactive oxygen species (ROS), glutathione (GSH), and glutathione disulfide (GSSG) levels.
  • Xenograft tumor growth inhibition studies in SCID mice.

Main Results:

  • PL and APR-246 synergistically induce apoptosis and autophagic cell death selectively in HNSCC cells, sparing normal cells.
  • The sensitization of HNSCC cells to APR-246 by PL is independent of TP53 mutations.
  • The combination treatment suppresses GSTP1 activity, leading to ROS accumulation, GSH depletion, GSSG elevation, and DNA damage.
  • Ectopic GSTP1 expression or N-acetyl-L-cysteine (NAC) pre-treatment abrogates ROS elevation and reduces treatment-induced cell death and DNA damage.
  • PL and APR-246 administration inhibits UMSCC10A xenograft tumor growth in vivo.

Conclusions:

  • HNSCC cells exhibit selective sensitivity to the combination of PL and APR-246.
  • The synergistic effect is mediated by the suppression of GSTP1, leading to ROS induction.
  • This combination represents a promising therapeutic strategy for HNSCC, irrespective of TP53 mutation status.

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